ArticleDiagnostics (Basel, Switzerland)2021
Diagnostic Accuracy of Ultrasonographic Respiratory Variation in the Inferior Vena Cava, Subclavian Vein, Internal Jugular Vein, and Femoral Vein Diameter to Predict Fluid Responsiveness: A Systematic Review and Meta-Analysis.
Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Effects of liquid resuscitation guided by internal jugular vein variability during deep inhalation on preventing propofol-induced hypotension in elderly patients.BMC anesthesiology · 2025Trial
- Respiratory variation in the internal jugular vein does not predict fluid responsiveness in the prone position during adolescent idiopathic scoliosis surgery: a prospective cohort study.BMC anesthesiology · 2023Trial
- Trial
- Predicting Postinduction Hypotension in Patients for Elective Surgery under General Anesthesia using a Preanesthesia Ultrasonography of the Subclavian Vein.Annals of African medicine · 2026Observational
- Diagnostic accuracy of left ventricular outflow tract velocity time integral and subclavian vein/infraclavicular axillary vein collapsibility index for predicting post-induction hypotension in patients undergoing emergency surgery under general anaesthesia.Indian journal of anaesthesia · 2026Article
- Association of Pre-Spinal Shock Indices and Right Internal Jugular Vein Collapsibility Index with Post-Spinal Hypotension During Cesarean Delivery: A Prospective Observational Study.Journal of clinical medicine · 2026Article
- Ultrasound of the inferior vena cava for fluid therapy decisions: Strengths, limitations, and an integrated approach.The Journal of international medical research · 2026Review
- OSCARinED: a policy and practice review of an emergency department-based critical care framework for critically ill non-trauma patients.Frontiers in medicine · 2026Article
- Observational
- Paced breathing causes tonic change rather than phasic modulation of superficial venous diameter.Journal of physiological anthropology · 2025Article
- Assessment of Fluid Responsiveness via Central Venous Ultrasound Measurement: A Network Meta-Analysis.Journal of clinical medicine · 2025Review
- Volume assessment comparing femoral vein and inferior vena cava among chest pain patients presenting to the emergency department.International journal of emergency medicine · 2024Article
- Prognostic significance of inferior vena cava volume defined by initial polytrauma CT-imaging: single-center experience of a level-1 trauma center.International journal of emergency medicine · 2024Article
- Nomogram for predicting in-hospital mortality in trauma patients undergoing resuscitative endovascular balloon occlusion of the aorta: a retrospective multicenter study.Scientific reports · 2024Article
- Comparison of subclavian vein and inferior vena cava collapsibility index in the intensive care unit.Revista da Associacao Medica Brasileira (1992) · 2024Observational
- Diagnostic Adjunct Techniques in the Assessment of Hypovolemia: A Prospective Pilot Project.The Journal of surgical research · 2024Article
- Article
- Utility of Inferior Vena Cava Distensibility and Respiratory Variation in Peak Aortic Blood Flow Velocity to Predict Fluid Responsiveness in Children with Shock.Indian journal of pediatrics · 2023Observational
- Inferior vena cava ultrasound and other techniques for assessment of intravascular and extravascular volume: an update.Clinical kidney journal · 2023Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This systematic review and meta-analysis aimed to investigate the ultrasonographic variation of the diameter of the inferior vena cava (IVC), internal jugular vein (IJV), subclavian vein (SCV), and femoral vein (FV) to predict fluid responsiveness in critically ill patients. Relevant articles were obtained by searching PubMed, EMBASE, and Cochrane databases (articles up to 21 October 2021). The number of true positives, false positives, false negatives, and true negatives for the index test to predict fluid responsiveness was collected. We used a hierarchical summary receiver operating characteristics model and bivariate model for meta-analysis. Finally, 30 studies comprising 1719 patients were included in this review. The ultrasonographic variation of the IVC showed a pooled sensitivity and specificity of 0.75 and 0.83, respectively. The area under the receiver operating characteristics curve was 0.86. In the subgroup analysis, there was no difference between patients on mechanical ventilation and those breathing spontaneously. In terms of the IJV, SCV, and FV, meta-analysis was not conducted due to the limited number of studies. The ultrasonographic measurement of the variation in diameter of the IVC has a favorable diagnostic accuracy for predicting fluid responsiveness in critically ill patients. However, there was insufficient evidence in terms of the IJV, SCV, and FV.
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